Job Description

US Employer – Affordability Governance & Execution

Network Strategy & Solutions – Alternative Networks Lead

Role Summary:

As part of the Affordability leadership team, this role will have primary responsibility for developing the Alternative Network Strategy and business plan for the Cigna Healthcare plans. This leader will work directly with Network Strategy & Solutions Lead to develop a set of options and recommended business plan to expand growth with leaner (and traditionally smaller) buyer types (i.e Select Segment). This leader will need to be able to understand and communicate across various workstreams and enterprise stakeholders as well as able to think non-linearly and anticipate and articulate future risks and opportunities across a set of scenarios.

Primary responsibilities include:

• Accountable for establishing a comprehensive business case, assumptions, and various options for Alternative Network & Product development. Components to address include, but are not limited to, the following:
  • Market targets and staging
  • Network, contracting, and operational needs
  • Technology and associated claim/benefit capabilities
  • Analytics requirements
  • Distribution
  • Margin expectations
• Reports to VP Network Strategy and will work closely with the SVP Affordability to establish options for executive consideration.
• Individual will need to partner closely with the following leads to understand existing workstreams and incorporate them into the overall business plan:
  • USE Network Lead who is responsible for facing out to local markets and establishing network/product needs
  • USE Network Governance who is responsible for Contracting/Network ops capacity management
  • USE Platform Lead who is responsible for coordinating with IT/Ops to determine technology strategy
  • Affordability Analytics Lead who is responsible for managing the business case financials and working with Finance/Pricing on the analytics roadmap.
  • USE Product Lead who is responsible for overall product configuration and benefit structures
• Establish overall management structure, from cadence and meeting intent to what and where decisions will be made and associated milestones to execute on the Alternative Network Strategies.

Qualifications and Experience:

• 15+ years of healthcare experience with demonstrated success across a variety of roles/responsibilities.
• Expert level knowledge of network design, provider partnerships, analytics, and product design
• Strong understanding of US Employer segment, what employers seek to buy, how medical product is distributed, and how financial value is created and charged to the different buyer types.
• Strong understanding of operational requirements and considerations for new product development.

Competencies Required for the Role:

• Strategic Mindset
• Cultivates Innovation
• Courage
• Drive Results
• Communicates Effectively
• Ensures Accountability
• Strong Collaboration and Partnership

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 212,000 - 353,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job Tags

Full time, Local area, Work from home, Holiday work,

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